Facial hidradenitis suppurativa: A potential mimicker of acne vulgaris

Litaiem, Noureddine; Raboudi, A.; Zéglaoui, Faten

doi:10.1016/j.jaad.2019.05.029

Cited by 3 publications

(4 citation statements)

References 8 publications

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“…This limitation points out an unmet need in the healthcare and research of patients with this special presentation of HS. Moreover, our series corroborates the findings already published8,9 about the treatment based on isotretinoin: It improves acne in almost all cases, while it does not seem to affect, or even worsens, facial HS.…”

supporting

confidence: 92%

“…These characteristics were used as diagnostic criteria in the differential diagnosis with acne conglobate (AC), as it is described in the bibliography. 4,5,8,9 • DCS and Nape HS: Pustules, nodules, abscesses, scars, and fistulas on the scalp or posterior cervical area. 3,10 • HS lymphedema: Persistent edema in patients with a history of HS in the same location after ruling out other etiologies.…”

Section: Methodsmentioning

confidence: 99%

“…The following diagnostic criteria included in the scientific literature were considered: Facial HS : Painful nodules which might drain purulent material and resolve with a tendency to form fistulas and “accordion” scars 4,5 in the facial area. These characteristics were used as diagnostic criteria in the differential diagnosis with acne conglobate (AC), as it is described in the bibliography 4,5,8,9 DCS and Nape HS : Pustules, nodules, abscesses, scars, and fistulas on the scalp or posterior cervical area 3,10 …”

Section: Methodsmentioning

confidence: 99%

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The role of biologic treatment in special scenarios in hidradenitis suppurativa: Facial and nape phenotype, dissecting cellulitis of the scalp, and lymphedema

Sánchez‐Díaz

Martínez-López

Salvador‐Rodríguez

et al. 2021

Dermatologic Therapy

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Hidradenitis suppurativa (HS) is a chronic inflammatory disorder affecting the hair follicle which typically affects the axilla, inguinal, submammary, and perianal areas. Atypical HS, such as facial HS, dissecting cellulitis of the scalp (DCS), nape HS, and HS lymphedema has also been described. There is scarce evidence about the treatment of atypical HS. To describe the efficacy of biologic drugs and adjuvant therapeutic interventions used in patients with atypical HS who had an inadequate response to systemic antibiotics. Prospective case series study of patients with atypical HS (facial HS, DCS, nape HS, and HS lymphedema) treated with biologic drugs in a HS Clinic setting. Disease activity indexes, sociodemographic, clinical, and safety variables were collected. Two patients met criteria for Facial HS, three met criteria for DCS/nape HS and three patients met criteria for HS lymphedema. Patients with facial HS achieved rapid improvement without requiring other therapies. Patients with DCS, nape HS, and HS lymphedema showed variable response, with decrease of activity indexes, and requiring adjuvant treatments. Biologic drugs are useful in the management of special HS locations. In the case of facial HS, biologic therapy seems to be quite effective as monotherapy. In the cases of DCS, HS lymphedema and nape HS, treatment combination or intensification may be needed.

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supporting

confidence: 92%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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The role of biologic treatment in special scenarios in hidradenitis suppurativa: Facial and nape phenotype, dissecting cellulitis of the scalp, and lymphedema

Sánchez‐Díaz

Martínez-López

Salvador‐Rodríguez

et al. 2021

Dermatologic Therapy

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“…Exclusion criteria were patients with only truncal acne and without facial lesions because the Global Evaluation Acne (GEA) scale 7 only rates facial acne, patients under guardianship or curatorship, patients with corticosteroid-induced acne and patients previously treated with isotretinoin. Forty age- and body mass index (BMI)-matched healthy subjects from the same geographic area (near Nantes, France) were selected as controls among patients referred to our dermatology outpatient department for another reason (except for hidradenitis suppurativa [HS] since a recent paper has shown a continuum between HS and conglobata facial acne 8 ). Data collected included the age, weight, height, BMI, consumption of fast-release sugars and dairy products, snacking habits, family history of acne, smoking status, alcohol consumption except wine (because wine consumption is traditionally advised in the MD 9 ), the use of cosmetics and a previous use (≥1 month before the study visit) of local and systemic treatments.…”

Section: Methodsmentioning

confidence: 99%

Lifestyle habits and impact of the Mediterranean diet on facial acne severity in French women: a case-control study

Ah-Thiane

Nguyen²,

Khammari

et al. 2022

International Journal of Women’s Dermatology

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Acne is a common benign inflammatory disease, but it has a significant psychosocial impact. The role of the diet in the development of acne is controversial. Some daily foods such as milk and fast-release sugars tend to promote acne. The Mediterranean Diet (MD) is based on virgin olive oil and nuts that are rich in polyphenols with anti-inflammatory properties. The aim of this study was to assess an association between the adherence to the MD and the severity of facial acne in French women. A case-control observational study was conducted in Nantes Hospital (France). Based on a validated PREvención con DIeta MEDiterránean questionnaire, the adherence to the MD was assessed. The Global Evaluation Acne severity score was assessed by a trained dermatologist. Forty women with mild-to-severe acne and 40 control subjects were included. A global linear model identified a significant negative correlation between the severity of acne and the adherence to the MD in acne patients (regression coefficient = −0.17; P = 0.017). This was the first study conducted in France to investigate the relationship between the adherence to the MD and the severity of facial acne in women. This study confirmed the importance of using a holistic approach for acne management. Further studies are needed to confirm our findings.

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Ultrasonography of Facial and Submandibular Hidradenitis Suppurativa and Concomitance With Acne Vulgaris

Wortsman,

Ortiz‐Orellana,

Valderrama

et al. 2024

J of Ultrasound Medicine

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ObjectivesTo describe the ultrasound characteristics of facial and submandibular hidradenitis suppurativa (HS) and detect acne vulgaris (AV) concomitance in these cases.MethodsWe performed a retrospective study of the ultrasound images of patients with facial HS who had been clinically evaluated by dermatologists. The reported ultrasound diagnostic criteria, severity (mSOS‐HS), and activity (US‐HAS) staging of HS were used to categorize the patients. The finding of fragments of hair tracts within the key lesions (dilated hair follicles, pseudocysts, fluid collections, and tunnels) was considered a pivotal sign to discriminate HS from AV. Demographic and morphological analysis of the images were considered.ResultsThirty‐three patients met the criteria (78.8% male/21.2% female). Of these, the mSOS‐ HS scoring was stage I in 51.5%, stage II in 27.3%, and stage III in 21.2%. Dilation of the hair follicles and the presence of pseudocysts, fluid collections, and tunnels were detected in the HS cases; 63.1% of pseudocysts, 62.4% of tunnels, and 46.2% of fluid collections contained fragments of hair tracts. In all HS cases, there was a key lesion(s) with fragments of hair tracts. Four (12.1%) patients showed concomitant facial HS and acne ultrasound lesions. The acne lesions were pseudocysts without inner hair tract fragments in all cases, and the SOS‐Acne scoring was stage II for all of them.ConclusionFacial HS can be detected on ultrasound and shows a morphology similar to that of HS in other corporal regions. In some cases, facial HS could be concomitant with AV. The subclinical ultrasonographic information can support a better management of these cases.

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Facial hidradenitis suppurativa: A potential mimicker of acne vulgaris

Cited by 3 publications

References 8 publications

The role of biologic treatment in special scenarios in hidradenitis suppurativa: Facial and nape phenotype, dissecting cellulitis of the scalp, and lymphedema

The role of biologic treatment in special scenarios in hidradenitis suppurativa: Facial and nape phenotype, dissecting cellulitis of the scalp, and lymphedema

Lifestyle habits and impact of the Mediterranean diet on facial acne severity in French women: a case-control study

Ultrasonography of Facial and Submandibular Hidradenitis Suppurativa and Concomitance With Acne Vulgaris

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